Abstract

NUNEZ ROCA, Ariel et al. Giant suprarenal carcinoma. Rev Cub Med Mil [online]. 2010, vol.39, n.2, pp. 150-156. ISSN 1561-3046.

OBJECTIVE: this is the presentation of a case of a very large suprarenal carcinoma. DESCRIPTION: a male patient aged 69 with a history of type 2 diabetes mellitus mentioning the palpation of a abdominal tumor. At physical examination we noted the presence of a palpable tumor in lumbar fossa and left flanks of approximately 15 to 16 cm diameter. Ultrasound corroborated the tumor being necessary to perform a single and contrasted computed tomography to establish its suprarenal origin. There were high levels of cortisol in plasma. INTERVENTION: a left suprarenalectomy and nephrectomy were performed. Postoperative course was satisfactory. The histopathology report of the surgical specimen was a suprarenal carcinoma with renal infiltration. Chemotherapy with mitotane was prescribed after surgery. In half-yearly and yearly controls the patient was asymptomatic and with normal blood cortisol levels. Ultrasound, computerized axial tomography of abdomen and thorax X-rays not showed tumor relapse neither metastasis. CONCLUSIONS: suprarenal carcinomas may to evolve in an asymptomatic way and to have bid dimensions. Combined treatment of surgery and chemotherapy, improves the prognosis of these patients.

Keywords : Suprarenal carcinoma; endocrine tumor; abdominal tumor; retroperitoneal tumor.

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